Provider Demographics
NPI:1477050870
Name:PAUL, MARIE SONY GARNIER
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:SONY GARNIER
Last Name:PAUL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:796 CRESTA CIR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33413-1048
Mailing Address - Country:US
Mailing Address - Phone:561-294-4190
Mailing Address - Fax:
Practice Address - Street 1:796 CRESTA CIR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33413-1048
Practice Address - Country:US
Practice Address - Phone:561-294-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator